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NPI Code Detail

MEDICARE: LAURA CAMILA PINTO CASTRILLO

MEDICARE:   LAURA CAMILA PINTO CASTRILLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1992438204
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA CAMILA PINTO CASTRILLO
Provider Business Mailing Address
First Line : 588 LONGMEADOW ST
Second Line :
City : LONGMEADOW
State : MA
Zip : 01106-2212
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 588 LONGMEADOW ST
Second Line :
City : LONGMEADOW
State : MA
Zip : 01106-2212
Country : US
Telephone Number : 413-565-1326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2022
Last Update Date : 07/05/2022

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Directions to “ LAURA CAMILA PINTO CASTRILLO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.